Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $321.55 / $321.55 / $321.55	Facility		$321.55	$321.55	$321.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.67 / $321.55 / $321.55	Professional		$278.67	$321.55	$321.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $852.19 / $1,697.90 / $3,092.44	Facility		$852.19	$1,697.90	$3,092.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $534.89 / $563.04 / $760.10	Professional		$534.89	$563.04	$760.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $326.42 / $345.31 / $365.98	Facility		$326.42	$345.31	$365.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $450.43 / $450.43 / $450.43	Professional		$450.43	$450.43	$450.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $313.79 / $313.79 / $313.79	Facility		$313.79	$313.79	$313.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.79 / $313.79 / $652.88	Professional		$313.79	$313.79	$652.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $321.55 / $406.89 / $406.89	Facility		$321.55	$406.89	$406.89
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $309.25 / $406.89 / $591.19	Professional		$309.25	$406.89	$591.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $341.65 / $416.65 / $479.14	Professional		$341.65	$416.65	$479.14
United Facility/Professional Professional Modifier Low / Median / High Price $196.16 / $264.41 / $397.34	Professional		$196.16	$264.41	$397.34